| NPI | 1053498857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 4041-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc00052) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-12-04 |